Optimization of diagnosis and treatment of maxillary cancer

Ganiev A.A., Svetitsky P.V., Shermatov E.A., Shermatova K.Kh., Abdukhalik-Zadeh N.Sh., Nigmatov J.K.

Интегративная стоматология и челюстно-лицевая хирургия · 2024-yil

Annotatsiya

Malignant tumors of the upper jaw are a relatively rare disease and account for 2.0 to 4.0% of human tumors and 1.5% of all malignant tumors of the head and neck. The maxillary sinus is most often affected. Despite the availability of examination, the majority of patients with this pathology turn to an oncologist with a tumor already widespread, in the volume of III-IV severity. We have to deal the problem of late detection of this oncological disease, which naturally complicates its treatment. When conversing with patients, it turns out that most of them went to the polyclinic, where, after examination, they were treated for colds: sinusitis, rhinitis, etc. Despite the ongoing treatment, due to the deterioration of the condition during a recurrent more meticulous examination, including an X-ray examination, they have been conducted a puncture of the maxillary sinus, after which they were referred to an oncologist with the results obtained. In oncological institutions, they were diagnosed with oncological disease in the volume of III-IV severity and surgical treatment was offered, and as a rule, accompanied by the formation of cosmetic and functional defects. What is the reason for the late detection of this cancer? The answer lies in the features of the topographic anatomy of the maxilla. In the upper jaw, the tumor occurs more often in the maxillary sinus, which has a fairly large volume – within 4.0 - 6.0 cm3. A lesion that has arisen in such a cavity grows freely without causing any inconvenience to the surrounding tissues. In the process of growth, a malignant neoplasm can damage the walls of the sinus, which will be expressed by the clinic of rhinitis, sinusitis, etc. Erroneous clinical conclusion leads to the appointment of anti-inflammatory therapy, which is carried out for a long time and ineffectively. And only when the tumor fills the entire sinus or part of it, violating the integrity of the walls, with germination into neighboring tissues, clinical signs appear indicating the development of cancer. In this case, the patient enters an oncological institution, where he receives specialized treatment. For illustration purposes, three clinical observations are presented, where only in one patient at the place of residence, during an examination including an X-ray examination, cancer was detected in the initial stage. This made it possible to carry out a radical operation without crippling consequences, followed by chemoradiotherapy. Has been under observation without relapse for more than three years.It is recommended that all patients with sluggish inflammatory disease of the maxilla (sinusitis, rhinitis, etc.) be subjected to a routine X-ray examination during a long, more than two to three weeks of treatment. This will allow timely detection and treatment of maxillary cancer in the early stages.

Maqola ma’lumotlari
MualliflarGaniev A.A., Svetitsky P.V., Shermatov E.A., Shermatova K.Kh., Abdukhalik-Zadeh N.Sh., Nigmatov J.K.
JurnalИнтегративная стоматология и челюстно-лицевая хирургия
Nashr sanasi2024-06-19
Jild3
Son2(7)
Betlar232-243
DOI10.57231/j.idmfs.2024.3.2.029

DOI: 10.57231/j.idmfs.2024.3.2.029 · Maqolaning asl sahifasi · PDF

Интегративная стоматология и челюстно-лицевая хирургия jurnalidan boshqa maqolalar

Интегративная стоматология и челюстно-лицевая хирургия — barcha maqolalar